Penn Undergraduate Programs

The application can be found here in word document form. The application can be found here in PDF form. If that will not open, you can copy and paste the following text into a document.

 

Botswana–UPenn Partnership Summer Internship Program
May 23, 2008 – July 31, 2008

Submission Deadline: February 1, 2008

Biographical Information

Name

Date of Birth ____________________ Gender: Male Female

Are you a U.S. citizen? Yes No (Please circle one.)

If “No,” please indicate primary country of citizenship

Please note that some placements may be limited to U.S. citizens. All placements will be contingent upon a student’s ability to obtain the required visa documents for travel from and re-entry to the U.S.

Current Address _______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Permanent Address _____________________________________________________________
_____________________________________________________________
_____________________________________________________________

I am currently enrolled at Penn in the School of ____________________________________

My current address is valid until ____________________

Current Home Phone __________________ Permanent Phone ____________________

Cell/Alternative Phone ____________________ E-mail ____________________

Emergency Contact Name (relationship): ________________________________________________________

Address: __________________________________________________________________________
___________________________________________________________________________

Day Phone: ______________________________ Evening Phone: __________________________

Study/Travel Experience

Have you ever studied, traveled, worked, volunteered, or interned abroad? If so, please indicate where, for how long, and for what purpose.

Placement Preference

Please select ONE internship activity for the list below.

Health Policy and Manpower: One internship position will be offered to a student in any undergraduate school at Penn to work under the direction of Howard Moffat, MD in the Ministry of Health whose department assesses compliance with Ministry of Health regulations in Botswana.

Veterinary Medicine: Two internship positions will be offered to a Penn Veterinary student to either work in a private veterinary clinic in Gaborone, or to work at the Botswana Agricultural College with individuals interested in the cattle industry in Botswana.

Archeology/Anthropology: One internship position will be offered to an undergraduate or graduate student to work collaboratively with the Penn Museum and the National Museum in Botswana to search the Botswana Museum database for ethnographic collections and utilize the photo archives to identify objects related to health and healing for possible inclusion in an upcoming exhibit at Penn.

Education: One internship position will be offered to an undergraduate interested in preschool and early childhood education to work in an orphanage/daycare program in Botswana.

Law: One internship position will be offered to a law student to work under the direction of the Attorney General in Botswana.

Industry and the Environment: One internship position will be offered to an undergraduate student to work at the Botswana Gas Company to assess the environmental impact of the first gas field to be found in Botswana.

Business: One internship position will be offered to a Wharton Huntsman student to work on a project in Botswana. Discussions are in progress between the Huntsman Program and the Office of International Programs at the University of Botswana to design the curriculum.

Personal Statement

Please write an essay of 500 words on a separate sheet of paper explaining why you are interested in participating in an internship program in Botswana, and what you hope to accomplish. Also describe how this internship relates to your academic purpose. You may include your interests (intellectual, social and other), personal achievements, and future aspirations.

Additional Materials

In addition to your personal statement and recommendations, please also attach to this application:

➢ Your CV or resume including your prior work experience, education and relevant coursework, volunteer experience, honors/awards and publications, and relevant computer skills;

➢ Copies of your Penn transcripts, including study abroad (official stamp on documents not required).

The following materials will be requested once you are accepted. The Botswana -UPenn Partnership Program will provide additional instructions at that time to help you submit these items:

➢ Health Clearance from Student Health Services

➢ Liability Waiver

➢ SOS Application

APPLICATION CERTIFICATION

(Please be aware that unsigned applications will be deemed incomplete and will not be considered.)

I affirm that, to the best of my knowledge, all of the information given by me in this application is true, correct, and made in good faith.

Signature

Date

After completing each section of the application, providing your certification signature, and attaching the required documents, please place all materials in a manila envelope and hand carry to:

 

Judy Lotsis
Academic Coordinator
ATTN: Botswana-UPenn Application Review
University of Pennsylvania
502 Johnson Pavilion
Philadelphia, PA 19104-6073
lotsis@mail.med.upenn.edu

Once your application has been received and reviewed, the Botswana-UPenn Partnership will send you a follow-up email with additional information and instructions.